Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Lighthouse Systems, LLC

Lighthouse Systems, LLC was paid $3.54M by Medicaid between Nov 2018 and Dec 2024, across 2 billing codes. Its largest line is S5161, Emergency response system; service fee, per month (excludes installation and testing) — 97% of everything it billed.

33Billing provider infoLIGHTHOUSE SYSTEMS, LLC
PHARR, TX 78577
33aNPI1902959455assigned 01/19/2007
28Total paid$3.54M
24GClaims119,974
24DCodes billed2
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers

Next to other Emergency Medical Services (Emergency Medicine) Physician providers in Texas

Rank by total paid#3 of 21
Median peer was paid$301K
This provider vs. median12×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration97% of spending on code S5161 with only 2 total codes billed. Highly concentrated billing profile.
Entity ProliferationAuthorized official SMITH, JOHN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201834$1K
20195,502$166K
202019,929$591K
202130,253$897K
202221,021$624K
202324,484$716K
2024incomplete18,751$545K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S5161 Emergency response system; service fee, per month (excludes installation and testing) 97% 117,570 116,919 $3.45M
S5160 Emergency response system; installation and testing 2.6% 2,404 2,346 $93K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSMITH, JOHN (PRESIDENT)
Same official

Other billing entities under SMITH, JOHN

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.